How much sugar should a child have per day
Healthy kids sweet enough without added sugars | The Nutrition Source
The Nutrition Source
The American Heart Association recommends children and teens consume less than 25 grams, or 6 teaspoons, of added sugar per day.
Consuming foods and beverages high in added sugars during childhood is linked to the development of risk factors for heart disease, including an increased risk of obesity and elevated blood pressure.
In a scientific statement published in Circulation, the American Heart Association (AHA) recommends that children ages two to 18 should limit their added sugar consumption to less than six teaspoons (25 grams) per day, and sugary beverages should be limited to no more than eight ounces per week. [1] Sugary drinks are a major contributor to the obesity epidemic, and a 20-ounce bottle of soda alone can include upwards of 16 teaspoons of added sugar. According to the AHA statement, children under the age of two should not consume any foods or beverages with added sugars.
“There is clear evidence that added sugars, especially sugary beverages, contribute to obesity and other metabolic problems,” says Dr. Frank Hu, Professor of Nutrition and Epidemiology at the Harvard Chan School of Public Health. “The AHA’s recommendation to limit added sugar intake for children is an important strategy to improve children’s diet and overall health. Schools, parents, health professionals, and policy makers should work together to help children develop healthier eating and drinking habits at early age.”
The recommendations are based on a review of available evidence examining the cardiovascular health impacts of added sugars on children, including effects on blood pressure, lipids, insulin resistance and diabetes, nonalcoholic fatty liver disease, and obesity. Associations between added sugars and increased heart disease risk factors among US youth were found to be present at levels far below current consumption. The AHA has previously recommended limits of six and nine teaspoons of added sugar per day for women and men, respectively.
Added sugars refer to any sugar—including table sugar, fructose, honey, and agave—consumed on its own, added to foods at home, or used in processing or preparing foods and drinks. The association’s recommendation for children comes ahead of the rollout of the updated Nutrition Facts Panel, which will differentiate between “added sugars” and naturally occurring sugars.
A good strategy for limiting added sugar is a diet rich in minimally-processed foods, including plenty of fruits and vegetables, whole grains, healthy proteins, and healthy fats, and choosing water over sugary drinks and juices. Use the Harvard Healthy Eating Plate as a guide, and spark a discussion with your child using the Kid’s Healthy Eating Plate.
References
- Vos MB, et al. Added Sugars and Cardiovascular Disease Risk in Children. Circulation. 2016; CIR.0000000000000439, published online before print August 22, 2016.
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Author Staff Posted on Categories FeaturesHow much sugar should children have?
Most of us eat too much sugar. In fact, the World Health Organisation recommends that we should reduce the amount of ‘free sugars’ that we eat. But what exactly does this mean? Free sugars are any sugars that are added to food or drinks, or present naturally in unsweetened fruit juices, fruit purées and pastes, as well as honey or syrups. This does not include natural sugars found in fruits, vegetables and milk.
No more than of 5% of our daily calories should come from added sugars. Although progress has been made in reducing our intake, the most recent UK survey showed that our children continue to consume over twice the recommended amount of their daily calories from free sugar.
Looking for low sugar recipe ideas? Check out our low-sugar breakfast recipes and low sugar snack ideas, then discover our top sugar swaps for your family.
What happens when we eat too much sugar?
Consuming too much sugar on a regular basis means we're eating too many calories, and if we don’t use those calories as fuel, our body will store them as fat. This can lead to weight gain, and if this happens to our children, it’s likely they will carry the weight into their adolescent and adult years, potentially becoming overweight or obese.
Some people believe that diet affects children's behaviour, and that children become hyperactive when they eat sugar, making them less likely to concentrate at school. This is a hotly debated topic, with many parents saying that what their child eats dramatically affects their child's behaviour. While there are no published studies to confirm this, what we do know is that sugar can lead to tooth decay, which is the biggest cause of hospital admissions among children. Health experts, including the British Dental, Dietetic and Medical Associations have all lobbied the government for a sugar tax, which is now in place in the form of a Soft Drinks Industry Levy.
How much free sugar should our kids have?
While there is room for a little bit of added sugar in our children’s diets, these foods and drinks should be seen as occasional treats, not the norm. High-sugar foods tend to contain fewer vitamins, minerals and fibre, and they may start to replace the nutritious foods children need to grow and develop.
Maximum recommended sugar intake per day by age group:
- Four to six years old – 19g (5 teaspoons)
- Seven to 10 years – 24g (6 teaspoons)
- From 11 years – 30g (7 teaspoons)
There’s no guideline limit for children under four years of age, but it’s recommended that they avoid sugar-sweetened drinks and foods with added sugar.
Food and drinks to keep an eye on
Biscuits, some breakfast cereals, sauces (including pasta sauce), cakes, chocolates, sweets, fizzy drinks, smoothies and fruit juice are all considered high in free sugars. Almost a quarter of the free sugars in our children’s diet comes from sugary drinks, and one single can of fizzy drink may contain as much as nine teaspoons of sugar.
What is a high level of sugar?
In order to identify products that are high in sugar, you'll need to be label savvy. The figures you see on a nutrition label represent the total sugar, so this includes the added free sugars as well as those that are naturally occurring.
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Food products are considered high or low in sugar if they fall above or below the following figures:
- High: more than 22.5g of total sugars per 100g
- Low: 5g or less of total sugars per 100g
If the amount of sugars per 100g is between these figures, that's regarded as a medium level.
Drinks are considered high or low in sugar if they fall above or below the following figures:
- High: more than 11.25g of total sugars per 100ml
- Low: 2.5g or less of total sugars per 100ml
If the amount of sugars per 100ml is between these figures, that's regarded as a medium level.
Top tips and simple swaps
- Swap high-sugar breakfast cereals for 50:50 or wholegrain toast, crumpets, bagels, plain yogurt with fruit or porridge with berries. Make sure you read labels closely, as some cereals position themselves as high fibre and healthy, yet contain high levels of sugar. At weekends, try scrambled or poached eggs on toast or savoury pancakes for a tasty alternative.
- Instead of cakes, pastries, biscuits or sweets, try a plain scone, unsalted nuts, breadsticks, fruit and vegetable sticks, or oat cakes topped with a small amount of peanut butter, sliced banana, cheese or hummus.
- Rather than fizzy drinks, try sparkling water mixed with a small amount of unsweetened fruit juice. Alternatively, blend some fruit, ice and milk to make a healthier alternative.
- Why not bake a fruit crumble or tart with minimal added sugar, or try one of our sugar-free bakes? Add a drizzle of cream for a healthier alternative to jelly and ice cream. Plain yogurt topped with berries, or fruit salad are both delicious options too.
- Be a role model – children tend to copy behaviour, so if they see you eating a healthy diet, they will too.
Remember, the advice isn’t just to cut down on sugar, as demonising one ingredient isn’t very helpful. We should instead encourage our children to make healthier choices, eat more fruits and vegetables and choose wholegrain options to increase fibre intake. Being active is also key, and encouraging different sports and activities is just as important as eating a healthy and balanced diet.
Everything you need to know about sugar
Discover our guides to a healthy diet for young children, school children and adolescents. Curious about quitting sugar or finding alternative sweet substitutes? Find out all you need to know about sugar in our expert guides.
Do you think children consume too much sugar? Do you agree with the sugar tax on soft drinks? Or do you think the impact of sugar is overrated when it comes to children's health? Leave a comment below...
This article was reviewed on 2 March 2022 by Tracey Raye.
Kerry Torrens BSc (Hons) PgCert MBANT is a Registered Nutritionist with a post graduate diploma in Personalised Nutrition & Nutritional Therapy. She is a member of the British Association for Nutrition and Lifestyle Medicine (BANT) and a member of the Guild of Food Writers. Over the last 15 years she has been a contributing author to a number of nutritional and cookery publications.
Emer Delaney BSc (Hons), RD has an honours degree in Human Nutrition and Dietetics from the University of Ulster. She has worked as a dietitian in some of London's top teaching hospitals and is currently based in Chelsea.
All health content on bbcgoodfood.com is provided for general information only, and should not be treated as a substitute for the medical advice of your own doctor or any other health care professional. If you have any concerns about your general health, you should contact your local health care provider. See our website terms and conditions for more information.
The norm of sugar in children
Any disease is always easier to prevent than to treat, so children are often prescribed an analysis to determine the level of glucose in the blood. What is the normal sugar level for babies? How to prepare for research? The answers to these and other questions are in our article.
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Glucose is one of the main sources of energy. As in adults, children's sugar levels are regulated by hormones produced by the pancreas, the key of which is insulin - it helps the body to optimally use the stores of glucose in the blood. If the pancreas is working properly, then the sugar level is within the normal range. nine0004
What level of sugar should the child have and how to determine it
To measure glucose, the doctor prescribes a blood test. How to prepare for it?
- Since this test is taken on an empty stomach, the baby should not eat for at least 8 hours before the test. Eat dinner in the evening, and in the morning you can drink a glass of water.
- It is not recommended to brush your teeth in the morning, because children's toothpaste, which contains sugar, may interfere with the result. nine0003
- Do not donate blood during an infectious disease. If your child is taking any medication, be sure to tell the doctor.
If the sugar indicator is low or high, then the baby will be given a referral for a second study, because there is always a risk of inaccurate results.Blood glucose is measured in millimoles per liter (mmol/L) or milligrams per deciliter (mg/dL).
In the first few hours after birth, the baby's blood sugar may be low and be just under 2 mmol / l, but after the first feeding, when the baby receives glucose from milk, the indicators will return to normal (about 3 mmol / l). nine0002 Blood sugar norms for children:
- from 2 days to 4 years 3 weeks - 2.8 - 4.4 mmol / l,
- from 4 years 3 weeks to 14 years - 3.3 - 5.6 mmol / l,
- over 14 years old - 4.1 - 5.9 mmol / l.
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Deviations from the norm: causes and external manifestations
A healthy child may experience low blood sugar, for example, after intense physical activity or if he missed lunch before a sports game. But also low rates can be associated with diseases of the pancreas and digestive system, serious chronic diseases and other reasons. nine0004
The following signs and symptoms may indicate low blood sugar:
- pale skin,
- increased activity and restlessness,
- headache,
- increased sweating,
- loss of consciousness, etc.
- frequent urination,
- thirst,
- weight loss due to large appetite (due to problems with the absorption of glucose, fat and muscle can begin to break down),
- fatigue, sullenness and irritability (due to lack of energy),
- vision problems (sugar levels above normal can make it difficult to focus),
- fungal infections.
If diabetes is suspected, a glucose tolerance test and a glycosylated hemoglobin test are ordered. The latter is needed to identify the average sugar levels for the last 3 months.
If all the tests carried out indicate the presence of a disease, it is important to strictly follow the doctor's recommendations. Proper diet and medication for diabetes can help minimize the impact of the disease on a child's quality of life.
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Danilycheva Lyubov Ivanovna Pediatric endocrinologist, pediatrician
21. 04.2020
What to do? Where to run? Often the accidental "detection" of elevated blood glucose occurs while playing with grandma's glucometer. Let's measure the sugar in a child? And there ... oh horror! 5.8-6.0 mmol/l. nine0209
Another "find": improper preparation for the study of blood glucose (for example: before the morning examination, the child ate chocolate at night; the test was taken after breakfast; or the child did not eat ANYTHING in the morning, but drank sweet tea).
In overweight children, glycemia figures can be up to 6.7 mmol / l - this is a reason to seek help from a pediatric endocrinologist and conduct a glucose tolerance test in order to exclude insulin resistance.
However, only glucometer readings are not reliable and sufficient for diagnosing diabetes mellitus. The diagnosis is established by the doctor taking into account an objective examination, analysis of complaints (thirst, polyuria, fatigue, loss of appetite, weight loss, capriciousness, skin disorders), interpretation of laboratory data - primarily the level of glucose in venous blood and the results of additional examinations.